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General NPI Number Information
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NPI Number | 1124177571
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Entity Type | Organization
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Legal Business Name | WHITE MOUNTAIN SURGICAL SPECIALISTS PC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 2650 E SHOW LOW LAKE RD SUITE 2
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City | SHOW LOW
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State | AZ
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Zip | 85901-7955
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Country | US
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Telephone | 928-537-4240
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 E SHOW LOW LAKE RD SUITE 2
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City | SHOW LOW
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State | AZ
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Zip | 85901-7955
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Country | US
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Telephone | 928-537-4240
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RONNIE K DOWLING
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Credential | M.D.
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Telephone | 928-537-4240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | AZ13617
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License Number State | AZ
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